Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $10.00 / $10.00	Professional		$8.50	$10.00	$10.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.40 / $62.64 / $75.59	Facility		$32.40	$62.64	$75.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.04 / $54.00 / $75.03	Professional		$41.04	$54.00	$75.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $38.50	Professional		$19.32	$19.32	$38.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $32.00 / $40.00	Professional		$32.00	$32.00	$40.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.65 / $188.65 / $188.65	Professional		$188.65	$188.65	$188.65